Quality Medical Coding - Manager

Coronis Ajuba Solutions; Chennai; On-site; INR 2,800,000 - 4,800,000; Full time

Job summary

Coronis Ajuba Solutions in Chennai, India is seeking an experienced QA Manager - Medical Coding to lead quality initiatives across coding operations. You will oversee audits, quality management, and continuous process improvements to ensure accuracy, compliance, and client satisfaction.

The ideal candidate brings 12+ years in Medical Coding with QA/audit expertise and 3–5 years in leadership. Strong knowledge of CPT, ICD-10-CM, HCPCS and payer guidelines is essential.

Qualifications

• Bachelor's degree in Life Sciences, Healthcare, Pharmacy, Nursing, Allied Health Sciences, or related disciplines.
• Professional certification such as CPC, CCS, CCS-P, CRC, or equivalent is mandatory.
• 12+ years of overall Medical Coding experience with significant exposure to QA and Auditing.
• 3–5 years in a managerial or leadership role within Medical Coding Quality.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, CMS guidelines and payer requirements.

Responsibilities

• Lead quality function for Medical Coding operations across multiple specialties.
• Develop, implement, and monitor QA programs, auditing methodologies, and KPIs.
• Conduct periodic coding audits for CPT/ICD-10-CM/HCPCS and payer guidelines.
• Analyze audit findings, identify trends, implement corrective actions.
• Drive continuous process improvement for accuracy, productivity, and efficiency.
• Collaborate with Operations, Training, and Client Services to meet SLAs.
• Ensure compliance with regulatory requirements and internal policies.
• Develop quality dashboards, scorecards, and KPIs.
• Lead root cause analysis and drive sustainable solutions.
• Identify opportunities for automation and innovation in quality workflows.
• Mentor QA Leads, Auditors, and Coding Teams.
• Participate in client reviews and governance meetings.
• Support transitions and expansion initiatives from a quality perspective.

Skills

Quality Leadership

Coding Audit Expertise

Process Improvement

Innovation

Operational Excellence

Compliance & Risk Management

Stakeholder Management

Team Development & Mentoring

Strategic Thinking

Data Analysis & Problem Solving

Education

Bachelor's degree in Life Sciences/Healthcare/Pharmacy/Nursing/Allied Health Sciences

Professional certification CPC/CCS/CCS-P/CRC or equivalent

Tools

Job description

Greetings from Coronis health!

12+ Years in Medical Coding - Quality management

Role Summary

We are seeking an experienced and dynamic QA Manager - Medical Coding to lead quality initiatives across coding operations. The ideal candidate will possess extensive expertise in Coding Audits, Quality Management, Process Improvement, Compliance, and Innovation, with a proven ability to drive operational excellence and support business growth through robust quality frameworks.

The QA Manager will be responsible for ensuring coding accuracy, regulatory compliance, continuous process improvement, and the implementation of innovative quality strategies that enhance productivity, scalability, and client satisfaction.

Key Responsibilities

• Lead and manage the quality function for Medical Coding operations across multiple specialties.
• Develop, implement, and monitor quality assurance programs, coding audit methodologies, and performance metrics.
• Conduct periodic coding audits to ensure adherence to CPT, ICD-10-CM, HCPCS, and payer-specific guidelines.
• Analyze audit findings, identify trends, and implement corrective and preventive action plans.
• Drive continuous process improvement initiatives to enhance coding accuracy, productivity, and operational efficiency.
• Partner with Operations, Training, and Client Services teams to establish quality benchmarks and achieve service-level objectives.
• Ensure compliance with regulatory requirements, client standards, and organizational quality policies.
• Develop and maintain quality dashboards, scorecards, and key performance indicators (KPIs).
• Lead root cause analysis for quality concerns and drive sustainable solutions.
• Identify opportunities for automation, innovation, and workflow optimization to improve quality outcomes.
• Mentor, coach, and develop QA Leads, Auditors, and Coding Teams.
• Participate in client reviews, business reviews, and quality governance meetings.
• Support new transitions, process migrations, and business expansion initiatives from a quality perspective.

Required Qualifications

• Bachelor's degree in Life Sciences, Healthcare, Pharmacy, Nursing, Allied Health Sciences, or related disciplines.
• Professional certification such as CPC, CCS, CCS-P, CRC, or equivalent is mandatory.
• 12+ years of overall Medical Coding experience with significant exposure to Quality Assurance and Auditing functions.
• Minimum 3-5 years of experience in a managerial or leadership role within Medical Coding Quality.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, CMS guidelines, payer requirements, and revenue cycle processes.
• Proven experience in coding audits, quality governance, process excellence, and operational improvement initiatives.
• Excellent analytical, stakeholder management, communication, and presentation skills.

Preferred Skills

• Six Sigma, Lean, Quality Management, or Process Excellence certifications.
• Experience managing large coding teams across multiple specialties and client accounts.
• Expertise in quality metrics, reporting tools, and data-driven decision-making.
• Exposure to automation, AI-assisted coding technologies, and innovation projects.
• Strong change management and leadership capabilities.

Key Competencies

• Quality Leadership
• Coding Audit Expertise
• Process Improvement
• Innovation & Transformation
• Operational Excellence
• Compliance & Risk Management
• Stakeholder Management
• Team Development & Mentoring
• Strategic Thinking
• Data Analysis & Problem Solving

Contact person : Mahalakshmi C